Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.75 / $4,433.87 / $8,920.00	Facility		$1,172.75	$4,433.87	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $755.12	Facility		$640.00	$640.00	$755.12
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.01 / $75.01 / $75.01	Facility	AS	$75.01	$75.01	$75.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.03 / $816.68 / $964.67	Professional		$638.03	$816.68	$964.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $683.21 / $874.48 / $1,362.62	Facility		$683.21	$874.48	$1,362.62
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $112.83 / $167.72 / $258.41	Facility	AS	$112.83	$167.72	$258.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $640.07 / $840.77 / $2,881.61	Facility		$640.07	$840.77	$2,881.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00